Provider Demographics
NPI:1841612652
Name:HOUSE CALL PROFESSIONALS
Entity Type:Organization
Organization Name:HOUSE CALL PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHINDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEAGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-712-7013
Mailing Address - Street 1:1916 PATTERSON ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2120
Mailing Address - Country:US
Mailing Address - Phone:615-712-7013
Mailing Address - Fax:615-712-7026
Practice Address - Street 1:1916 PATTERSON ST
Practice Address - Street 2:SUITE 310
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2120
Practice Address - Country:US
Practice Address - Phone:615-712-7013
Practice Address - Fax:615-712-7026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD39745207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000641Medicare PIN